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SITE Vasco Road Landfill jsITE, TICKET aCEILIL <br /> 1033353 <br /> l - <br /> 4001 14 Vasco Road IWEIGHMASTER <br /> Livfarmorc, CA 925-4,17-ri491 <br /> CUSTOMER DATFJTiME UI OATEMME OUT <br /> Of, —104(j — <br /> '-'I EXCAVATORSIYEHICLE CONTAINER <br /> :"'RF.ENVALE CT <br /> ROSA, CA 95401 fl�FjaENCE <br /> INVOICE <br /> I '+14 4 30 BILL OF LADING <br /> CROSS WEIGHT 50,060 NET TONS 4. 18 <br /> TARE WEIGHT 41,700 NET WEIGHT 8, 360 INBOUND <br /> t, <br /> CITY. UNIT DNSCRWFM RATE EXTENSION TAX TOTAL <br /> :T ..ACKIPIG QTY <br /> 418 TN SW-OFF SPEC MATERIAL TRACY S75.00 $313.50 $18.94 $332.44 <br /> 100 ENVIRONMaITAL FEE 1 $15.00 $15.00 MOO $15.00 <br /> 100 'FUEL RECOVERY FEE 6.07% $19.03 $0.00 $19.03 <br /> i <br /> i <br /> "EI HMR R-EERfitFICAfL—ltnsTsto'cem TttT- Tn"TWiOuingBFSLGEErdTIMM I was weih .g .measure or counted <br /> by a weighmaster .inose vgnaluie is on this certificate.who rs a recognized authority of accurate,as prescribed by Chapter 7 <br /> (commencing wtlh Section 12700)of Division 5 of the California Business and Professions Code,administered by the Division $366.47 <br /> of f.leasuremenl Standards o'the California Department of Food S Agriculture <br /> TENDERED <br /> S000 <br /> The undersigned Individual signing this document on behall of Customer acknowledges that no or she has read and understands the terms and conddions CHANGE <br /> on the reverse side and 111.1 he or she hos Iho authority to sign this document on behall of the customer 0-00 <br /> CHECK$ <br /> RS-FO42UPR 107712! SIGNATURE <br /> s <br />